Organization
INLAND COMPOUNDING PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYLENE LOUISE MOTE PHARM. D. (PHARMACIST-IN-CHARGE)
(909) 478-3842
Entity
Organization
Contact information
Practice address
24747 REDLANDS BLVD, SUITE F., LOMA LINDA, CA 92354-4026
(909) 478-3248
(909) 478-3853
Mailing address
24747 REDLANDS BLVD, SUITE F., LOMA LINDA, CA 92354-4026
(909) 478-3248
(909) 478-3853
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY45758
CA
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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